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Breast reconstructi...
Breast reconstruction patterns from a Swedish nation-wide survey
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- Unukovych, Dmytro (author)
- Karolinska Institutet,Uppsala universitet,Plastikkirurgi,Capio St Görans Hosp, Dept Surg, Stockholm, Sweden,Uppsala Univ, Sweden; Capio St Gorans Hosp, Sweden
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- Gümüscü, Rojda (author)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden
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- Wärnberg, Fredrik (author)
- Uppsala universitet,Endokrinkirurgi,Uppsala Univ, Sweden
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- de Boniface, Jana (author)
- Karolinska Institutet
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- Eriksen, Catharina (author)
- Southern Gen Hosp, Dept Clin Sci & Educ, Stockholm, Sweden
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- Sund, Malin (author)
- Umeå universitet,Kirurgi,Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden
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- Nåsell, Petra (author)
- Capio St Görans Hosp, Dept Surg, Stockholm, Sweden
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- Åhsberg, Kristina (author)
- Skåne Univ Hosp, Dept Breast & Melanoma Surg, Lund, Sweden
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- Olofsson, Pia (author)
- Linköpings universitet,Avdelningen för kirurgi, ortopedi och onkologi,Medicinska fakulteten,Region Östergötland, Hand- och plastikkirurgiska kliniken US
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- Lewin, Richard (author)
- Sahlgrenska Akad, Dept Plast Surg, Clin Sci, Gothenburg, Sweden
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- Lambe, Mats (author)
- Karolinska Institutet
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- Brandberg, Yvonne (author)
- Karolinska Institutet
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- Folkvaljon, Folke (author)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden
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- Mani, Maria (author)
- Uppsala universitet,Plastikkirurgi,Uppsala Univ, Sweden
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(creator_code:org_t)
- Elsevier BV, 2020
- 2020
- English.
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In: European Journal of Surgical Oncology. - : Elsevier BV. - 0748-7983 .- 1532-2157. ; 46:10, s. 1867-1873
- Related links:
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https://urn.kb.se/re...
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https://doi.org/10.1...
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https://urn.kb.se/re...
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Abstract
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- ObjectivesThe overall aim of the Swedish Breast Reconstruction Outcome Study was to investigate national long-term outcomes after mastectomy with or without breast reconstruction. The current report evaluates breast reconstruction (BR) patterns in Sweden over time.Materials and methodsThis is a cross-sectional, registry-based study where all women operated with mastectomy 2000, 2005, 2010 were identified (N = 5853). Geographical differences in type of BR were investigated using heatmaps. Distribution of continuous variables were compared using the Mann-Whitney U test, categorical variables were compared using the chi-square test.ResultsMean age at survey was 69 years (SD=±11.4) and response rate was 50%, responders were on average six years younger than the non-responders and had a more favourable tumor stage (both p < 0.01). Of the 2904 responders, 31% (895/2904) had received a BR: implant-based in 58% (516/895)autologous in 31% (281/895). BR was immediate in 20% (176/895) and delayed in 80% (719/895) women.Women with BR were on average one year older, more often had a normal BMI, reported to be married or had a partner, had a higher educational level and a higher annual income when compared to those without BR (all p < 0.001). The independent factors of not receiving BR were older age and given radiotherapy.ConclusionsTo our knowledge, this is the first national long-term follow-up study on women undergoing mastectomy with and without BR. Around 30% of the survey responders have had a BR with a significant geographical variation highlighting the importance of information, availability and standardisation of indications for BR.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Kirurgi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Surgery (hsv//eng)
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Cancer och onkologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Cancer and Oncology (hsv//eng)
Keyword
- Breast cancer
- Reconstruction
- Quality of life
- Outcomes
- Sweden
- National
Publication and Content Type
- ref (subject category)
- art (subject category)
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- By the author/editor
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Unukovych, Dmytr ...
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Gümüscü, Rojda
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Wärnberg, Fredri ...
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de Boniface, Jan ...
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Eriksen, Cathari ...
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Sund, Malin
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Nåsell, Petra
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Åhsberg, Kristin ...
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Olofsson, Pia
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Lewin, Richard
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Lambe, Mats
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Brandberg, Yvonn ...
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Folkvaljon, Folk ...
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Mani, Maria
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Surgery
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Cancer and Oncol ...
- Articles in the publication
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European Journal ...
- By the university
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Uppsala University
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Umeå University
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Linköping University
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Karolinska Institutet